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LOLA JETT SUDP
NPI 1629463617
Counselor - Addiction (Substance Use Disorder) in Shoreline, WA

Active since April 06, 2015
16715 AURORA AVE N # 102, SHORELINE, WA 98133(206) 546-9766 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lola Jett Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOLA JETT SUDP (NPI 1629463617) is an individual addiction (substance use disorder) provider in Shoreline, Washington, licensed in Washington (CO 60521530) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1629463617
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLOLA JETTCredential: SUDP
Location Address16715 AURORA AVE N # 102Shoreline, WA 98133-5310
Mailing Address2610 Wetmore AveEverett, WA 98201-2927 · (425) 258-5270
Phone(206) 546-9766
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
✔ NPI 1629463617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in WA · CO 60521530✔ Licensed in WA · 60763564✔ Licensed in WA · CP60763564
16715 AURORA AVE N # 102, Shoreline, WA 98133
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONI JO SANTORO
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N # 102
SHORELINE, WA 98133
King County (206) 546-9766
TYNISHAS MARIE MAY
Community Health Worker
16715 AURORA AVE N # 102
SHORELINE, WA 98133
King County (206) 546-9766
KATHERINE BRITTAIN
Behavior Technician
16715 AURORA AVE N # 102
SHORELINE, WA 98133
King County (206) 546-9766
ADRYENNE PATTERSON MSW, LICSWA, MHP
Counselor (Mental Health)
16715 AURORA AVE N # 102
SHORELINE, WA 98133
King County (206) 546-9766
DEBORA JEAN KNOWLES
Licensed Practical Nurse
16715 AURORA AVE N # 102
SHORELINE, WA 98133
King County (206) 546-9766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lola Jett's NPI number?

The NPI number for Lola Jett is 1629463617. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Lola Jett located?

Lola Jett practices at 16715 Aurora Ave N # 102, Shoreline, WA 98133. The listed phone number is (206) 546-9766.

What is Lola Jett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lola Jett was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.